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Jonathan Clark Crist

Family Doctor Family Doctor - Sports Medicine

9250 Sw Hall Blvd
Tigard , Oregon 97223-6721

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Jonathan Clark Crist

Family Doctor Family Doctor - Sports Medicine

9250 Sw Hall Blvd
Tigard , Oregon 97223-6721

(503) 221-0161

Write a Review Save Call

Jonathan Clark Crist

Family Doctor Family Doctor - Sports Medicine

9250 Sw Hall Blvd
Tigard , Oregon 97223-6721

(503) 221-0161 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Sports Medicine

Languages spoken

  • English

Location

9250 Sw Hall Blvd Tigard , Oregon 97223-6721

First Address

  • Jonathan Clark Crist
  • 800 Sw 13th Ave
  • Portland, OR
  • Zip : 97205-1902
  • Phone : (503) 221-0161

Second Address

  • Jonathan Clark Crist
  • 9250 Sw Hall Blvd
  • Tigard, OR
  • Zip : 97223-6721
  • Fax : (503) 297-9357
  • Phone : (503) 293-0161

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FAQs


Where did Jonathan Clark Crist attend graduate school?

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Where did Jonathan Clark Crist do his residency?

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Where did Jonathan Clark Crist do his fellowship?

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Is Jonathan Clark Crist board certified?

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What type of doctor is Jonathan Clark Crist

Family Doctor - Sports Medicine

In what state does Jonathan Clark Crist practice in?

Oregon

Where is Jonathan Clark Crist ’s practice located?

9250 Sw Hall Blvd , Tigard, Oregon, 97223-6721

What is Jonathan Clark Crist ’s gender?

Male

Is Jonathan Clark Crist a sole practitioner?

No

Is Jonathan Clark Crist accepting new patients?

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What languages does Jonathan Clark Crist speak?

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Does Jonathan Clark Crist accept insurance?

Yes, Jonathan Clark Crist accepts insurance

Does Jonathan Clark Crist offers telemedicine?

Jonathan Clark Crist has not indicated if he offers telemedicine

What is Jonathan Clark Crist ’s professional license number?

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What is Jonathan Clark Crist ’s NPI number?

1134252851

Does Jonathan Clark Crist have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207Q00000X Family Doctor 6604923-8905 UT
Y 207QS0010X Family Doctor - Sports Medicine MD28274 OR

National Provider Identifier

NPI 1134252851
Provider Name Jonathan Clark Crist
First Address Portland, OR 97205-1902
Second Address Tigard, OR 97223-6721
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 13/03/2007
Last Update Date 06/11/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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